510(k) Report

510(k) · Cleared

Cleared

SPY Elite Intraoperative Perfusion Assessment System

K182907510(k) TraditionalCleared Jan 23, 201998-day reviewClass II21 CFR 892.1600

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Novadaq Technologies Ulc. (Now A Part of Stryker) · IZI System, X-Ray, Angiographic

Cleared on Jan 23, 2019 as substantially equivalent to K100371 (Novadaq Technologies, Inc., 2011) and 3 other predicates after a 98-day review. Its family tree reaches back 7 generations to 1994. 14 later devices descend from it.

Decided
Jan 23, 2019
Review
98 days
Class
Class II
Product code
IZI
Recalls
None
Predicates
4

Its longest line of descent runs back 7 generations to K944261 (1994). 22 ancestors in all, the oldest K860913 (1986). 14 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2008: 1 other ancestor2007: 2 other ancestors2006: 1 other ancestor2004: 1 other ancestor2001: 1 other ancestor1999: 2 other ancestors1997: 2 other ancestors1996: 1 other ancestor1986: 1 other ancestor1995: 1 other ancestor1993: 1 other ancestor1991: 1 other ancestor2020: 3 descendants cleared2019: 1 descendant cleared2022: 1 descendant cleared2023: 3 descendants cleared2025: 2 descendants cleared2024: 1 descendant cleared2026: 3 descendants clearedK944261 · Retina Angiograph · Heidelberg Engineering · 1994K042961 · Spy Intra-Operative Imaging System: SP2000 · Novadaq Technologies, Inc. · 2005 · recalledK060867 · Spy Intraoperative Imaging System · Novadaq Technologies, Inc. · 2006 · recalledK063345 · Spy Imaging System · Novadaq Technologies, Inc. · 2007 · recalled×2: 2 generations cleared close together, K072222 (2007), K073088 (2008) K100371 · Spy Intra-Operative Imaging System · Novadaq Technologies, Inc. · 20111990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 3 other ancestors3 generations back: 4 other ancestors4 generations back: 1 other ancestor5 generations back: 2 other ancestors6 generations back: 3 other ancestors 1 generation forward: 4 descendants2 generations forward: 3 descendants3 generations forward: 7 descendants K100371 · Spy Intra-Operative Imaging System · Novadaq Technologies, Inc. · 2011K073088 · Spy Fluorescent Imaging System · Novadaq Technologies, Inc. · 2008K072222 · Spy Fluorescent Imaging System · Novadaq Technologies, Inc. · 2007 · recalledK063345 · Spy Imaging System · Novadaq Technologies, Inc. · 2007 · recalledK060867 · Spy Intraoperative Imaging System · Novadaq Technologies, Inc. · 2006 · recalledK042961 · Spy Intra-Operative Imaging System: SP2000 · Novadaq Technologies, Inc. · 2005 · recalledK944261 · Retina Angiograph · Heidelberg Engineering · 1994−50
  1. Root · 7 generations backK944261 Retina AngiographHeidelberg Engineering · 1994
  2. 6 generations backK042961 Spy Intra-Operative Imaging System: SP2000Novadaq Technologies, Inc. · 2005 · Recalled
  3. 5 generations backK060867 Spy Intraoperative Imaging SystemNovadaq Technologies, Inc. · 2006 · Recalled
  4. 4 generations backK063345 Spy Imaging SystemNovadaq Technologies, Inc. · 2007 · Recalled
  5. 3 generations backK072222 Spy Fluorescent Imaging SystemNovadaq Technologies, Inc. · 2007 · Recalled
  6. 2 generations backK073088 Spy Fluorescent Imaging SystemNovadaq Technologies, Inc. · 2008
  7. 1 generation backK100371 Spy Intra-Operative Imaging SystemNovadaq Technologies, Inc. · 2011
  8. This deviceK182907 SPY Elite Intraoperative Perfusion Assessment SystemNovadaq Technologies Ulc. (Now A Part of Stryker) · 2019
  9. Descendant · cites it directly · 9 of its ownK192174 SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc. (Now A Part of Stryker) · 2019
  10. Descendant · 2 generations on · 8 of its ownK200737 SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc. (Now A Part of Stryker) · 2020
  11. Descendant · cites it directly · 5 of its ownK202244 SPY-PHI System with SPY-PHI Fluorescence Assessment SoftwareNovadaq Technologies Ulc. (Now A Part of Stryker) · 2020
  12. Descendant · 2 generations on · 4 of its ownK230727 SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc (A Part of Stryker) · 2023
  13. Descendant · cites it directly · 2 of its ownK214097 Explorer Air IISurgvision GmbH · 2022

Showing 5 of 14 descendants. See all descendants

Descendants cleared per year

2019: 12020: 32022: 12023: 32024: 12025: 22026: 3
2019high 3 (2020) · low 0 (2021)2026

Most influential descendants

Showing 5 of 14 · See all
  • K192174SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc. (Now A Part of Stryker) · 2019 · cites it directly9descendants
  • K200737SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc. (Now A Part of Stryker) · 2020 · 2 generations on8descendants
  • K202244SPY-PHI System with SPY-PHI Fluorescence Assessment SoftwareNovadaq Technologies Ulc. (Now A Part of Stryker) · 2020 · cites it directly5descendants
  • K230727SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc (A Part of Stryker) · 2023 · 2 generations on4descendants
  • K214097Explorer Air IISurgvision GmbH · 2022 · cites it directly2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K944261Retina AngiographHeidelberg Engineering1994—
−6K042961Spy Intra-Operative Imaging System: SP2000Novadaq Technologies, Inc.20051
−5K060867Spy Intraoperative Imaging SystemNovadaq Technologies, Inc.20061
−4K063345Spy Imaging SystemNovadaq Technologies, Inc.20071
−3K072222Spy Fluorescent Imaging SystemNovadaq Technologies, Inc.20071
−2K073088Spy Fluorescent Imaging SystemNovadaq Technologies, Inc.2008—
−1K100371Spy Intra-Operative Imaging SystemNovadaq Technologies, Inc.2011—
0 (this device)K182907SPY Elite Intraoperative Perfusion Assessment SystemNovadaq Technologies Ulc. (Now A Part of Stryker)2019—
+1K192174SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc. (Now A Part of Stryker)2019—
+2K200737SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc. (Now A Part of Stryker)2020—
+1K202244SPY-PHI System with SPY-PHI Fluorescence Assessment SoftwareNovadaq Technologies Ulc. (Now A Part of Stryker)2020—
+2K230727SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc (A Part of Stryker)2023—
+1K214097Explorer Air IISurgvision GmbH2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198610
199110
199310
199510
199610
199720
199920
200110
200410
200610
200720
200810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201910
202030
202210
202330
202410
202520
202630
FIG. 1 — Lineage of K182907, 1994–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in IZI? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new IZI device

  1. #1 K230727 SPY Portable Handheld Imaging (SPY-PHI) Systemscore 23.2 · 20 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (4)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K100371Spy Intra-Operative Imaging System
Summary page 4
…232-9841 Email: [email protected] Date 510(k) Summary Prepared: October 12, 2018 Predicate Device(s): SPY System (K100371, K073088, K073130, and K071619) (Novadaq Technologies Inc.) Device Description The SPY Elite System…
Novadaq Technologies, Inc.2011—
*K073088Spy Fluorescent Imaging System
Summary page 4
…Email: [email protected] Date 510(k) Summary Prepared: October 12, 2018 Predicate Device(s): SPY System (K100371, K073088, K073130, and K071619) (Novadaq Technologies Inc.) Device Description The SPY Elite System is an an…
Novadaq Technologies, Inc.2008—
*K073130Spy Fluorescent Imaging System
Summary page 4
…Email: [email protected] Date 510(k) Summary Prepared: October 12, 2018 Predicate Device(s): SPY System (K100371, K073088, K073130, and K071619) (Novadaq Technologies Inc.) Device Description The SPY Elite System is an angiographi…
Novadaq Technologies, Inc.2008—
*K071619Spy Fluorescent Imaging System
Summary page 4
…Email: [email protected] Date 510(k) Summary Prepared: October 12, 2018 Predicate Device(s): SPY System (K100371, K073088, K073130, and K071619) (Novadaq Technologies Inc.) Device Description The SPY Elite System is an angiographic fluorescenc…
Novadaq Technologies, Inc.20073

Also cleared against K100371: 1 other device →

What descends from it? (14)

See all 14

4 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K192174SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc. (Now A Part of Stryker)20199
K202244SPY-PHI System with SPY-PHI Fluorescence Assessment SoftwareNovadaq Technologies Ulc. (Now A Part of Stryker)20205
K214097Explorer Air IISurgvision GmbH20222
K192761Asimov-MKS Imaging SystemOnlume, Inc.20200

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 25 years and passes through 3 companies; a new generation was cleared every 1.3 years on median.
  • 15 of the 22 ancestors have a recall of any class.
  • Of its descendants, K192174 (Novadaq Technologies Ulc. (Now A Part of Stryker), 2019) has gone furthest, with 9 descendants of its own.
  • 1 other device also cites its predicate K100371.

How does its category compare?

All IZI devices

IZI System, X-Ray, Angiographic: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · IZI

2in 2025

2007: 72008: 62009: 22010: 22011: 42012: 12013: 12014: 42016: 12017: 22018: 22019: 22020: 12021: 12022: 12023: 32024: 22025: 22026 (partial year): 2
2007high 7 (2007) · low 0 (2015)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · IZI

81in 2023

2007: 28 days median2008: 68 days median2011: 104 days median2014: 111 days median2023: 81 days median
2007high 111 (2014) · low 28 (2007)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · IZI

1in 2021

2007: 62008: 522009: 182010: 112011: 62012: 62013: 62014: 52015: 142016: 72017: 12018: 22019: 22020: 22021: 12026 (partial year): 1
2007high 52 (2008) · low 0 (2022)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · IZI

2,171in 2025

2007: 922008: 1012009: 1322010: 2522011: 3772012: 772013: 582014: 1232015: 362016: 1022017: 882018: 492019: 302020: 142021: 292022: 2652023: 1,2042024: 1,3322025: 2,171
2007high 2,171 (2025) · low 14 (2020)2025

MAUDE reports naming product code IZI, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
2007728692
200866852101
20092—18132
20102—11252
201141046377
20121—677
20131—658
201441115123
20150—1436
20161—7102
20172—188
20182—249
20192—230
20201—214
20211—129
20221—0265
202338101,204
20242—01,332
20252—02,171
20262—1—

What is it indicated for?

Upon intravenous administration of SPY AGENT™ GREEN (Indocyanine green for Injection, USP), the SPY Elite System is used with SPY AGENT™ GREEN to perform intraoperative fluorescence angiography. The SPY Elite System used with SPY AGENT™ GREEN is indicated for use in adult and pediatric patients one month of age and older. The SPY Elite System is indicated for fluorescence imaging of blood flow and tissue perfusion before, during, and after: vascular, gastrointestinal, organ transplant, and plastic, micro- and reconstructive surgeries.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K182907: SPY Elite Intraoperative Perfusion Assessment System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K182907

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026